Rev 1/31/11

Federal Subsidized Permanent Legal Custodianship/ Title IV-E Eligibility Criteria
Child Requirements (Pages 6-7 and 14-15) / Yes / No / N/A
1. Adjudicated dependent or delinquent with SCR?
2. Goals of Reunification with Parents and Adoption ruled out?
3. Child’s permanency goal changed to PLC?
4. Age 14 or older refuses to consent to adoption after participating in adoption preparation counseling?
5. Under 14 years of age and opposed to adoption after participating in adoption preparation counseling?
6. Eligible for Title IV-E foster care maintenance payments for 6 consecutive months while in placement with the relative/kinship caregiver? / *
7. Lived with eligible caregiver for 6 consecutive months during current custody episode? / *
8. Has a strong bond with the relative/kinship caregiver? / *
9. Sibling to a Federal SPLC eligible child and placed in the same custodian home as the sibling?
10. Child is a citizen or qualified alien? (Page 20)
Case Record Documentation Requirements (Page 10) / Yes / No / N/A
1. The steps taken to determine that reunification or adoption is not appropriate.
2. The efforts made to discuss the planned PLC with the child’s parent(s) or the reasons why efforts were not made.
3. The efforts made to discuss adoption with the PLC candidate and the reasons why it is not an option.
4. The reasons why PLC and receipt of subsidy are in the child’s best interest.
5. The reasons why the child was separated from siblings during placement and the plans to maintain sibling connections.
6. The child meets the Child Eligibility Requirements listed in the previous section.
SPLC Candidate Requirements (Pages 7-8 and 15) / Yes / No / N/A
1. Fully approved resource home having met all of the requirements of Title 55 Pa. Code Chapter 3700 and not be on provisional status?
2. All clearances required for ongoing home approval up-to-date?
3. Meets the definition of relative/kin?
4. Has a strong commitment to caring permanently for the child?
SPLC Agreement Requirements (Pages 17-19) / Yes / No / N/A
1. Statement that the amount of the subsidy may not exceed the foster care maintenance payment?
2. The dollar amount of the subsidy?
3. The payment schedule?
4. The effective date of the agreement?
5. Statement that the amount of the subsidy is based on the child’s needs and the circumstances of the custodian and may be adjusted with the concurrence of the custodian (with exceptions)?
6. The additional services and assistance for which the child and custodian may be eligible and the procedure by which the custodian may apply?
7. Statement that the agreement will remain in effect without regard to the state of residency of the custodian?
8. The agency will pay up to $2000 for the total cost of non-recurring expenses associated with obtaining legal custodianship of the child?
9. Circumstances that will terminate the agreement?

*These requirements are applicable to all children with the exception of siblings in #9 of the Child Requirements section.

State Subsidized Permanent Legal Custodianship Eligibility Criteria
Child Requirements (Pages 6-7 and 15) / Yes / No / N/A
1. Adjudicated dependent or delinquent with SCR?
2. Goals of Reunification with Parents and Adoption ruled out?
3. Child’s permanency goal changed to PLC?
4. Age 12 or older refuses to consent to adoption after participating in adoption preparation counseling?
5. Under 12 years of age and opposed to adoption after participating in adoption preparation counseling?
6. Lived with eligible caregiver for 6 months which need not be consecutive prior to court ordering PLC?
7. Child is not eligible for Federal SPLC?
Case Record Documentation Requirements (Page 10) / Yes / No / N/A
1. The steps taken to determine that reunification or adoption is not appropriate.
2. The efforts made to discuss the planned PLC with the child’s parent(s) or the reasons why efforts were not made.
3. The efforts made to discuss adoption with the PLC candidate and the reasons why it is not an option.
4. The reasons why PLC and receipt of subsidy are in the child’s best interest.
5. The reasons why the child was separated from siblings during placement and the plans to maintain sibling connections.
6. The child meets the Child Eligibility Requirements listed in the previous section.
SPLC Candidate Requirements (Pages 8 and 15) / Yes / No / N/A
1. Fully approved resource home having met all of the requirements of Title 55 Pa. Code Chapter 3700 and not be on provisional status?
2. All clearances required for ongoing home approval up-to-date?
3. Has a strong commitment to caring permanently for the child?
SPLC Agreement Requirements (Pages 17-19) / Yes / No / N/A
1. Statement that the amount of the subsidy may not exceed the foster care maintenance payment?
2. The dollar amount of the subsidy?
3. The payment schedule?
4. The effective date of the agreement?
5. Statement that the amount of the subsidy is based on the child’s needs and the circumstances of the custodian and may be adjusted with the concurrence of the custodian (with exceptions)?
6. The additional services and assistance for which the child and custodian may be eligible and the procedure by which the custodian may apply?
7. Statement that the agreement will remain in effect without regard to the state of residency of the custodian?
8. The agency will pay up to $2000 for the total cost of non-recurring expenses associated with obtaining legal custodianship of the child?
9. Circumstances that will terminate the agreement?
County Subsidized Permanent Legal Custodianship Eligibility Criteria
Child Requirements / Yes / No / N/A
1. Child is not eligible for Federal or State SPLC?
2. Other requirements are at the discretion of the county choosing to offer this type of subsidy.
Case Record Documentation Requirements / Yes / No / N/A
1. Requirements are at the discretion of the county choosing to offer this type of subsidy.
SPLC Candidate Requirements / Yes / No / N/A
1. Requirements are at the discretion of the county choosing to offer this type of subsidy.
SPLC Agreement Requirements / Yes / No / N/A
1. Requirements are at the discretion of the county choosing to offer this type of subsidy.